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61. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
    February 06, 2012 - This measure is recommended for health care provider-level reporting and has been tested in EHRs. … It is possible such a component can be added later when EHRs and other systems improve (as explained … The Sexual Activity Status Among Adolescents measure is relevant for implementation in EHRs. … Thus, automated reporting from EHRs at this time is not reliable. … However, EHRs may potentially promote confidentiality of data records, as reports pulled from EHRs can

62. Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
    January 01, 2016 - Practice data (manual chart reviews, EHRs) Develop reports for different audiences: policymakers, health … Helping practices run reports from their charts or EHRs provided them more real time information to track … Slide 33 Lessons Learned Provider organizations using EHRs with advanced reporting capabiltities … were able to report more measures Programming EHRs to extract and report quality measures can be time

63. Measure: Developmental Screening Follow-up: Follow-up Referral Tracking (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-3-ef.pdf
    April 01, 2016 - Advantages of the Measure ● This measure is specified for construction in electronic health records (EHRs

64. BMI Assessment and Recommended Weight Gain (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
    July 01, 2016 - specification process, which places emphasis on developing comprehensive measure specifications for EHRs … The PCPI recognizes that EHRs are the state of the art for clinical encounters. … PCPI is focusing significant resources and expertise toward specifying and testing measures within EHRs … will align the PCPI with national initiatives that highlight the benefits and wealth of data that EHRs … As adoption of EHRs increases, utilization of this measure should also increase. Section 13.

65. Introducing electronic screening tools for developmental delay and autism into pediatric primary care: Special Innovation Feature (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
    August 01, 2015 - screening tools using paper and pencil, score the screening tools by hand, and enter the results into EHRs … • Linked with the practices’ EHRs so that families were able to use the EHR’s patient portal to complete

66. Measure: Developmental Screening Follow-up: Follow-up Referral After Positive Developmental Screen (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-2-ef.pdf
    April 01, 2016 - Advantages of the Measure ● This measure is specified for construction in electronic health records (EHRs

67. Chipra204-Materials Viiia (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIIA.pdf
    February 18, 2016 - 2 How do you report referrals in your EHRs?

68. Chipra205-Materials Viiia (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIIA.pdf
    February 19, 2016 - 2 How do you report referrals in your EHRs?

69. Title of Presentation: (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
    September 24, 2015 - Administrative data (Medicaid claims, immunization registries) • Practice data (manual chart reviews, EHRs … processing • Infrequent reporting periods – Helping practices run reports from their charts or EHRs … addition to organization-level) reports 37 37 Lessons Learned • Provider organizations that used EHRs … with advanced reporting capabilities were able to report more measures – Programming EHRs to extract

70. Introducing electronic screening tools for developmental delay and autism into pediatric primary care | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.html
    August 01, 2018 - screening tools using paper and pencil, score the screening tools by hand, and enter the results into EHRs … Linked with the practices’ EHRs so that families were able to use the EHR’s patient portal to complete

71. Depression Care for Adolescents and Adults 2014 Testing Report (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-6.pdf
    January 01, 2014 - from various sources, including administrative claims, medical records, electronic health records (EHRs … These plans had searchable coded fields for documenting PHQ results in their EHRs. … RESULTS FOR STUDY 1: Electronic data extract primarily from EHRs Depression Screening and Follow-up … health plan-level specification for data collection from electronic clinical data sources (e.g., EHRs … health plan-level specification for data collection from electronic clinical data sources (e.g., EHRs

72. Evaluation Highlight No. 8: CHIPRA Quality Demonstration States Help School-Based Health Centers Strengthen Their Medical Home Features (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight08.pdf
    September 08, 2015 - • Investigating a model format for pediatric electronic health records (EHRs). … processes and their mastery of health information technology (IT), including electronic health records (EHRs … While all SBHCs in Colorado were using EHRs before the CHIPRA quality demonstration began, practice … facilitators helped some New Mexico SBHCs transition to EHRs. … practice facilitators to work with SBHCs on quality improvement projects, encouraging advanced use of EHRs

73. CHIPRA quality demonstration States help school-based health centers strengthen their medical home features | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
    June 01, 2014 - Investigating a model format for pediatric electronic health records (EHRs). … processes and their mastery of health information technology (IT), including electronic health records (EHRs … helped some New Mexico SBHCs transition to EHRs. … Practice facilitators also taught SBHCs how to use their EHRs for population management, such as identifying … practice facilitators to work with SBHCs on quality improvement projects, encouraging advanced use of EHRs

74. Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
    March 01, 2016 - places emphasis on developing comprehensive measure specifications for electronic health records (EHRs … The PCPI recognizes that EHRs are the state of the art for clinical encounters and is focusing significant … resources and expertise toward specifying and testing measures within EHRs, as they hold the promise … will align the PCPI with national initiatives that highlight the benefits and wealth of data that EHRs … As adoption of EHRs increases, utilization of this measure should also increase. 26

75. Episiotomy (Overuse): Report (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
    March 01, 2016 - places emphasis on developing comprehensive measure specifications for electronic health records (EHRs … The PCPI recognizes that EHRs are the state-of-the-art for clinical encounters and is focusing significant … resources and expertise toward specifying and testing measures to be included in EHRs, as they hold … align the PCPI with national initiatives that highlight the benefits and wealth of data that EHRs … As adoption of EHRs increases, utilization of this measure should also increase. Section 13.

76. Behavioral Health Risk Assessment (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
    December 31, 2015 - places emphasis on developing comprehensive measure specifications for electronic health records (EHRs … The PCPI recognizes that EHRs are the state of the art for clinical encounters and is focusing significant … resources and expertise toward specifying and testing measures within EHRs, as they hold promise for … will align the PCPI with national initiatives that highlight the benefits and wealth of data that EHRs … As adoption of EHRs increases, utilization of this measure should also increase. Section 13.

77. Introducing Electronic Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Natzke-presentation.pdf
    December 01, 2015 - and Prevention (CDC) study (2008–2010) – Partially electronic method – Electronic health records (EHRs

78. Follow-Up Referral After Positive Developmental Screen (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
    January 01, 2014 - Follow-up Referral after Positive Developmental Screen measure in their electronic health records (EHRs … required to calculate this measure do not currently exist in structured data fields in CPQSC site EHRs … eMeasure Limitations The slow diffusion of EHRs in pediatrics provides a current limitation for the … EHRs were not designed with pediatric patients in mind, as they were modified from records designed … It was determined feasible to construct the measures in the EHRs of CHOP and in Ashe Pediatrics, one

79. Measure: Body Mass Index (BMI) Assessment and Recommended Weight Gain for Pregnant Women (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p009-7-ef-3.pdf
    May 01, 2013 - Medicaid and CHIP (Child Core Set).7 ● This measure is specified for use in electronic health records (EHRs … ● Use of this measure is limited to sites that use EHRs for clinical documentation.

80. Sexual Activity Status Among Adolescents (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0087-fullreport.pdf
    October 01, 2016 - designed for health care provider-level reporting and has been tested in electronic health records (EHRs … However, EHRs may potentially promote confidentiality of data records, as reports pulled from EHRs can … EHR Limitations Field testing revealed that EHRs still inconsistently capture sexual activity status